| Alta Weight Loss and Wellness | |
|
380 Se Pioneer Way Ste 201 Oak Harbor WA 98277-3204 | |
| (360) 682-9848 | |
| (620) 646-9813 |
| Full Name | Alta Weight Loss and Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 380 Se Pioneer Way Ste 201, Oak Harbor, Washington |
| Authorized Official Name and Position | Lena Bransom (OWNER) |
| Authorized Official Contact | 3606829848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Weight Loss and Wellness 316 Se Pioneer Way Ste 290 Oak Harbor WA 98277-5716 Ph: (360) 682-9848 | Alta Weight Loss and Wellness 380 Se Pioneer Way Ste 201 Oak Harbor WA 98277-3204 Ph: (360) 682-9848 |
| NPI Number | 1972317204 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972317204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
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